Implications of obesity for cardiovascular disease in blacks: the CARDIA and ARIC studies
- 1 June 1991
- journal article
- research article
- Published by Elsevier BV in The American Journal of Clinical Nutrition
- Vol. 53 (6), 1604S-1611S
- https://doi.org/10.1093/ajcn/53.6.1604s
Abstract
To examine the relation of obesity to cardiovascular disease in blacks, we analyzed data from two population studies, including young and middle-aged adults. Obesity, defined by using the sum of subscapular and triceps skinfold measurements, was positively associated with atherogenic plasma lipids, systolic blood pressure, serum glucose and insulin, and prevalence of diabetes mellitus. The strength of these associations, for the most part, was similar in blacks and whites. However, with each unit increase in sum of skinfold thicknesses, plasma triglyceride concentrations in blacks appeared to increase only one-third to one-half as much as in whites. Prevalence of cardiovascular disease in 45- to 65-y-old blacks was associated with obesity; the odds ratio (95% confidence interval), adjusted for age and cigarette smoking, was 1.3 (0.9, 1.8) in both black men and black women. Additional analyses showed that abdominal adiposity conferred increased risk. These findings suggest that both blacks and whites should avoid excess adiposity.This publication has 25 references indexed in Scilit:
- A Prospective Study of Obesity and Risk of Coronary Heart Disease in WomenNew England Journal of Medicine, 1990
- Cardia: study design, recruitment, and some characteristics of the examined subjectsJournal of Clinical Epidemiology, 1988
- The association of body fat distribution with hypertension, hypertensive heart disease, coronary heart disease, diabetes and cardiovascular risk factors in men and women aged 18–79 yearsJournal of Chronic Diseases, 1987
- The association of the ratio of waist to hip girth with blood pressure, serum cholesterol and serum uric acid in children and youths aged 6–17 yearsJournal of Chronic Diseases, 1987
- Obesity and hypertension in a longitudinal study of black physicians: The Meharry Cohort StudyJournal of Chronic Diseases, 1986
- Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study.Circulation, 1983
- Coronary heart disease in black populations II. Risk factorsAmerican Heart Journal, 1982
- Overweight, Obesity, Coronary Heart Disease and MortalityNutrition Reviews, 1980
- Pathophysiology of hypertension in blacks and whites. A review of the basis of racial blood pressure differences.Hypertension, 1979
- Black-white differences in serum lipids and lipoproteins in Evans CountyPreventive Medicine, 1975